Individual
MRS. THELMA LATRICE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 COHEN HILL RD, JOHNS ISLAND, SC 29455-7200
(843) 200-8475
(843) 559-2149
Mailing address
3265 COHEN HILL RD, JOHNS ISLAND, SC 29455-7200
(843) 200-8475
(843) 559-2149
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008816466
SC
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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